多层螺旋电子计算机断层扫描和数字化成像技术诊断周围型肺癌临床价值的对比  

Comparison of clinical value of multisice computed tomography and digital radiography in the diagnosis of peripheral lung cancer

作　　者：刘冰 LIU Bing(Department of Magnetic Resonance,the First People′s Hospital of Shenyang,Liaoning Province,Shenyang110041,China)

机构地区：[1]沈阳市第一人民医院磁共振科,辽宁沈阳110041

出　　处：《中国当代医药》2021年第20期160-163,共4页China Modern Medicine

摘　　要：目的探讨多层螺旋电子计算机断层扫描(MSCT)和数字化成像技术(DR)诊断周围型肺癌的临床价值。方法选取2017年10月—2019年10月沈阳市第一人民医院收治的75例周围型肺癌患者作为研究对象,分别对其进行多层螺旋CT和DR检查,比较两种方法诊断周围性肺癌的临床诊断率和TNM分期的符合率。结果64层MSCT对分叶征、空洞征、毛刺征、空泡征和支气管征、胸水、棘样突起、纵膈淋巴结肿大以及胸膜凹陷征等征象的检出率高于DR,差异有统计学意义(P<0.05);64层MSCT诊断周围型肺癌的临床诊断率(90.6667%)高于DR(70.6667%),差异有统计学意义(P<0.05);64层MSCT诊断符合率(90.6667%)高于DR(65.3333%),差异有统计学意义(P<0.05)。结论64层MSCT能够较为清晰地显示周围型肺癌患者的征象,周围型肺癌检出率较高,且对临床TNM分期的诊断符合率较高,对于周围型肺癌诊断具有重要价值。Objective To investigate the clinical value of multisice computed tomography(MSCT)and digital radiography(DR)in the diagnosis of peripheral lung cancer.Methods A total of 75 patients with peripheral lung cancer admitted to the First People′s Hospital of Shenyang from October 2017 to October 2019 were selected as the research objects,and multi-slice spiral CT and DR examination were performed respectively.The clinical diagnostic rate and TNM staging coincidence rate of the two methods were compared.Results The detection rates of lobulation sign,cavity sign,burr sign,vacuole sign and bronchus sign,pleural effusion,spinous process,mediastinal lymph node enlargement and pleural indentation sign in 64 slice MSCT were higher than those in DR,with statistical differences(P<0.05).The clinical diagnostic rate of 64 slice MSCT in the diagnosis of peripheral lung cancer(90.6667%)was higher than that of DR(70.6667%),the difference was statistically significant(P<0.05).The diagnostic coincidence rate of 64 slice MSCT(90.6667%)was higher than that of DR(65.3333%),the difference was statistically significant(P<0.05).Conclusion The 64-slice MSCT can clearly show the signs of patients with peripheral lung cancer.The detection rate of peripheral lung cancer is relatively high,and the diagnostic coincidence rate for clinical TNM staging is relatively high,which is of great value for the diagnosis of peripheral lung cancer.

关 键 词：64层多层螺旋CT 数字X线摄片 周围型肺癌 影像学征象 临床TNM分期 

分 类 号：R734.2[医药卫生—肿瘤]